Transcending Alcoholic Denial

Wing, Donna Marie

doi:10.1111/j.1547-5069.1995.tb00834.x

Cited by 20 publications

(17 citation statements)

References 17 publications

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“…Unfortunately, these data do not inform about the causes for this relatively modest rate of treatment‐seeking behavior among those with AD, and we hesitate to speculate whether this is because of limitations in treatment availability, insurance, problem awareness, expectancies about treatment efficacy, or some other unmeasured phenomena. That being said, the extant literature suggests that the majority of alcoholics who recover do so without the benefit of treatment (Russell et al., 2001), and those afflicted with AUDs may not view themselves as impaired (i.e., denial) and are therefore unlikely to pursue treatment unless physical problems associated with alcohol use are present or a comorbid affective disorder is present (Atkinson, 1985; Bijl and Ravelli, 2000; Miller and Flaherty, 2000; Proudfoot and Teesson, 2002; Tarter et al., 1984; Volk et al., 1997; Wing, 1995). Our finding of greater treatment seeking among the Chronic Severe subtype, which suffers substantial psychiatric and other substance use disorder comorbidity, is consistent with these prior observations.…”

Section: Discussionmentioning

confidence: 99%

Prospective Follow‐Up of Empirically Derived Alcohol Dependence Subtypes in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC): Recovery Status, Alcohol Use Disorders and Diagnostic Criteria, Alcohol Consumption Behavior, Health Status, and Treatment Seeking

Moss

Chen

2010

Alcoholism Clin & Exp Res

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The results suggest that the empirical AD typology predicts differential clinical outcomes 3 years later. Persistence of full AD, treatment seeking, and worse mental health status were associated most strongly with those subtypes manifesting the greatest degree of psychiatric comorbidity. Reductions in alcohol consumption behavior and good physical health status were seen among the 2 younger subtypes. Overall, the least prevalent subtype, the Chronic Severe, showed the greatest stability in the manifestations of AD, despite having the highest rate of treatment seeking.

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Section: Discussionmentioning

confidence: 99%

Prospective Follow‐Up of Empirically Derived Alcohol Dependence Subtypes in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC): Recovery Status, Alcohol Use Disorders and Diagnostic Criteria, Alcohol Consumption Behavior, Health Status, and Treatment Seeking

Moss

Chen

2010

Alcoholism Clin & Exp Res

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“…Practitioners in the mental health field clearly differ from clinicians in the substance abuse treatment community on the issue of "personal responsibility" (Wing 1995). For better or worse, at least substance abuse counselors hold their clients accountable for their behavior even if the tools that substance abuse counselors offer are often useless.…”

Section: Paternalism Is Not Treatmentmentioning

confidence: 99%

Mixing Oil and Water: Integrating Mental Health and Addiction Services to Treat People with a Co-occurring Disorder

Cherry

2007

Int J Ment Health Addiction

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Treatments for people with the co-occurring disorders of mental illness and substance use (abuse or dependence) have been evolving and improving since the mid 1980s. During this period substance abuse treatment programs reported between 50 and 75% of the people they served also had a mental health problem. At the same time, mental health programs reported between 20 and 50% of the people they served had a co-occurring problem of substance use or abuse. The proposed solution is to integrate the two treatment systems so as to treat both disorders at the same time. During the 1990s integrated treatment was proposed and several models of integrated care were evaluated. The fallacy of these conceptualizations is that the authors of these models presume that the numerous treatment interventions from both treatment traditions are compatible. This is a critical assumption. What if the two are not compatible? Rather than integrate the two systems of mental health and addiction treatment in whole, I would argue, a model is needed that selects the best interventions from each field and discard the rest. Suggestions are presented here for a beginning inventory of best practice interventions that could be the foundation for effectively treating people with co-occurring disorders. Kuhn (1962) in his seminal book, The Structure of Scientific Revolutions called it a "paradigm shift." This is a phenomenon in science where there is a major change in basic assumptions. The shift in the assumptions in the field of mental health and addictionology caused by the need to explain and treat people with the co-occurring disorders of mental health and addiction is an example of the "paradigm shift" phenomenon. These shifts have had a profound impact on other sciences. We should prepare for nothing less as the science of understanding and treating people with co-occurring disorders comes into conflict with hallowed assumptions held dear in the fields of mental health and addiction treatment.

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“…Yo planeaba estar sobrio por un corto periodo de tiempo, y luego volver a consumir. Ahora realmente deseo estar sobrio" (19).…”

Section: Proceso De Cambio Y Transformaciónunclassified

Recovering from Alcohol Addiction: A Transformation to Promote Health

2012

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Se presenta una metasíntesis cuyo objetivo es establecer las características del proceso de recuperación en las personas que tienen adicción al alcohol. La metodología metasintética se fundamenta en la integración e interpretación de los hallazgos de algunos estudios cualitativos que permiten reconocer elementos sustanciales en la creación de nuevas interpretaciones en el fenómeno de recuperación de la adicción al alcohol. Para ubicar las fuentes se realizó una búsqueda en las bases de datos Ovid, Medline, Cinalh, Psych Info, Lilacs y Scielo, que comprendió el periodo 1988 a 2008, y en el que se ubicaron once artículos mediante las palabras clave: abuso de alcohol, adicción, dependencia, recuperación, experiencia e investigación cualitativa; de estos únicamente seis cumplieron con los criterios de calidad para ser incluidos en la metasíntesis. Los hallazgos permiten señalar que la recuperación es concebida como una trasformación con movimiento ascendente, conceptualización que implica reconocer la potencialidad de los aspectos positivos de las personas, alcanzar la madurez psicológica y espiritual, y lograr la paz y la libertad para actuar. En conclusión, este proceso de transformación inmerso en la recuperación debe ser reconocido por el profesional de enfermería para establecer, entre ese otro y ella, una fructífera interacción que permita el desarrollo del cuidado.

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Transcending Alcoholic Denial

Cited by 20 publications

References 17 publications

Prospective Follow‐Up of Empirically Derived Alcohol Dependence Subtypes in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC): Recovery Status, Alcohol Use Disorders and Diagnostic Criteria, Alcohol Consumption Behavior, Health Status, and Treatment Seeking

Prospective Follow‐Up of Empirically Derived Alcohol Dependence Subtypes in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC): Recovery Status, Alcohol Use Disorders and Diagnostic Criteria, Alcohol Consumption Behavior, Health Status, and Treatment Seeking

Mixing Oil and Water: Integrating Mental Health and Addiction Services to Treat People with a Co-occurring Disorder

Recovering from Alcohol Addiction: A Transformation to Promote Health

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